Hepatitis A

Authors

  • Jorge Andrés Herrera Corrales Médico General, Área de Salud Naranjo, Costa Rica
  • Jenny Badilla García Médico General, Área de Salud Palmares, Costa Rica

Keywords:

Hepatitis A, epidemiology, diagnosis.

Abstract

Hepatitis A virus has been classically linked to the fecal-oral transmission mechanism, characteristic of endemic countries. The increase in hygiene conditions in our environment had led to a significant decrease in cases of infection by these pathogens. However, the epidemiology of these infections is currently changing due to new routes of transmission in Europe. In the case of hepatitis A, cases due to sexual transmission are increasing, especially among men who have sex with men. The changes described should promote the implementation of new strategies for the diagnosis, management and prevention of these diseases. Acute hepatitis due to the hepatitis A virus usually has a short, benign and self-limited course, without causing chronic hepatitis. However, some cases have an atypical presentation.

 

References

1. Alejandro José García Ferreira, Aida Ortega Alonso, A.M Moreno García, M. García Cortés. Actualización epidemiológica del virus de la hepatitis A y el virus de la hepatitis E. Revista andaluza de patología digestiva.2018; Vol. (41): 133-141.

2. Carmen Rodríguez Acosta. Actualización sobre hepatitis viral: etiología, patogenia, diagnóstico microbiológico y prevención. Rev Cubana Med Gen Integr .2000; 16 (6): 574-85.

3. Rojo: Maria H. Sjogren and John T. Bassett. En: Feldman. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 10ma ed. Elsevier. 2015. 1302-1308

4. Fierro NA. Is hepatitis A virus infection under control? lessons in the application of viral sequencing for the development of vaccination schemes in emergency situations. EBioMedicine. 2018;39:11-12.

5. Jules L. Dienstag. Hepatitis viral aguda. Harrison principios de medicina interna. Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo. México: McGraw-Hill; 2015. 2004-2022.

6. S.G. Muñoz-Martínez, H.A. Díaz-Hernández, D. Suárez-Flores, J.F. Sánchez-Ávila, A. Gamboa-Domínguez, I. García-Juárez, A. Torre. Atypical manifestations of hepatitis A virus infection. Revista de Gastroenterología de México. 2018; 83(2):134-143.

7. Marc G. Ghany, T. Jake Liang. Acute Viral Hepatitis. En: Daniel Podolsky. Yamada’s Textbook of Gastroenterology. 6th edition. USA: Wiley Blackwell; 2016. 1886-1915.

8. Dirk Werber, Kai Michaelis, Marius Hausner,Dagmar Sissolak, Jürgen Wenzel, Julia Bitzegeio, Anne Belting Daniel Sagebiel, and Mirko Faber. Ongoing outbreaks of hepatitis A among men who have sex with men, Berlin, November 2016 to January 2017 – linked to other German cities and European countries. Euro Surveill. 2017; 22(5): 30457

9. Foster M, Ramachandran S, Myatt K, et al. Hepatitis A Virus Outbreaks Associated with Drug Use and Homelessness — California, Kentucky, Michigan, and Utah, 2017. MMWR Morb Mortal Wkly Rep 2018;67:1208–1210.

10. A.Laurain ,S.Pol. Manejo de las hepatitis víricas en atención primaria. EMC Tratado de Medicina. 2017; Vol(21):1-8.

11. David B. Rein, Katherine A. Hicks, Kathleen E. Wirth, Kaafee Billah, Lyn Finelli, Anthony E. Fiore, Thomas J. Hoerger, Beth P. Bell, Gregory L. Armstrong .Cost-Effectiveness of Routine Childhood Vaccination for Hepatitis A in the United States. Pediatrics. 2007. Vol 119.

Published

2020-11-16